YXM-16377-93082

5 vaccinations 14 coded responses 47 check-ins 14 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 980 / WA
Registered: 2021-01-22

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tiredness

Free text: Slight brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Sluggishness — Feeling: Good

Free text: Very slight sluggishness but I have no way of knowing why.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle strain — Feeling: Good · Muscle or body aches

Free text: I think I just strained a back muscle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Survey response — day 28, dose 2
MedDRA: Feeling abnormal, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Brain fog and increasing foot pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 42, dose 2
MedDRA: Feeling abnormal, Insomnia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Foggy thinking. Reduced sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Pain in extremity — Feeling: Poor · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lower back and upper left leg pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract irritation — Feeling: Fair

Free text: Lungs feel irritated

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract irritation — Feeling: Good

Free text: Slight lung irritation. Not as bad as yesterday.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract irritation — Feeling: Good

Free text: Lung irritation is improving

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Survey response — day 7, dose 3
MedDRA: Chest discomfort — Feeling: Good

Free text: Slight lung discomfort

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-25
Survey response — day 21, dose 3
MedDRA: Dizziness — Feeling: Good

Free text: Slight dizziness when get up in morning or after exercising on the floor.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — 3 months, dose 3
MedDRA: Blood pressure increased, Dizziness, Dizziness postural — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Increased blood pressure readings and periodic lightheadedness .slight dizziness when moving from sitting/lying down to standing. I do not know if this is from the vaccination but is different than before.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-04
Call successful
Does not wish to fill out VAERS report
2022-04-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-08
Dose 4 — Pfizer-BioNTech
2022-04-14
Survey response — days 1–6 daily, dose 4
MedDRA: Vertigo positional — Feeling: Good · Site: Pain

Free text: Slight vertigo when sitting up Quickly

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Survey response — day 7, dose 4
MedDRA: Vertigo — Feeling: Good

Free text: Slight vertigo upon rising

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-19
Dose 5 — Pfizer-BioNTech
2022-10-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-10
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-20
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-19
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-20
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2021-10-02	Pfizer-BioNTech	Flu
4	2022-04-08	Pfizer-BioNTech	No
5	2022-09-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-23	Successful	Does not wish to fill out VAERS report
2022-01-03	Successful 2022-01-04	Does not wish to fill out VAERS report

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Slight brain fog

2021-01-25

Systemic reaction (other): Very slight sluggishness but I have no way of knowing why.

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): I think I just strained a back muscle.

Release 5 — day 28, dose 2

2021-03-09

Symptoms: Brain fog and increasing foot pain.

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Foggy thinking. Reduced sleep.

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Lower back and upper left leg pain

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): Lungs feel irritated

2021-10-07

Systemic reaction (other): Slight lung irritation. Not as bad as yesterday.

2021-10-08

Systemic reaction (other): Lung irritation is improving

Release 10 — day 7, dose 3

2021-10-09

Systemic reaction (other): Slight lung discomfort

Release 10 — day 21, dose 3

2021-10-25

Symptoms: Slight dizziness when get up in morning or after exercising on the floor.

Release 10 — 3 months, dose 3

2022-01-03

Symptoms: Increased blood pressure readings and periodic lightheadedness .slight dizziness when moving from sitting/lying down to standing. I do not know if this is from the vaccination but is different than before.

Release 11 — days 1–6 daily, dose 4

2022-04-14

Systemic reaction (other): Slight vertigo when sitting up Quickly

Release 11 — day 7, dose 4

2022-04-15

Systemic reaction (other): Slight vertigo upon rising

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Blood pressure increased	·	·	✓
SD	Dizziness	·	·	✓
SD	Dizziness postural	·	·	✓
SD	Feeling abnormal	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Muscle strain	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Respiratory tract irritation	·	·	✓
SRO	Sluggishness	✓	✓	✓
SRO	Vertigo	·	·	✓
SRO	Vertigo positional	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release